Bennett, Laura
Bennett, Laura is an individual health care provider with primary practice located at 607 E Apache St , Farmington NM 87401-6925. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bennett, Laura can be contacted via phone (505) 326-2012.Contact Information
Primary practice address
607 E Apache St
Farmington NM 87401-6925
Phone: (505) 326-2012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R31992 | New Mexico |
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | R31992 | New Mexico |
Profile Details
| NPI number | 1932659273 |
|---|---|
| LBN Legal business name | Bennett, Laura |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2016 |
| Last updated | Oct 11th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932659273 | NPPES |
| New Mexico | Other | 1265683049 | OPTUM |
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